National Provider Identifier Database

RUBICON DTP LLC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

RUBICON DTP, LLC
5751 W 73RD ST # A
INDIANAPOLIS, IN46278-1741
Phone: 317-524-1515
Fax: 844-325-7228
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X
Mail Order Pharmacy 3336M0002X

* Indicates primary specialty

NPI Profile & details for RUBICON DTP, LLC

NPI Number 1174091557
Legal business name
LBN
RUBICON DTP, LLC
Authorized official DAVID BURAND - (PRESIDENT- PIC)
Entity Organization
Organization subpart No
Enumeration date 11/05/2018
Last updated 11/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 20080595A
  • Other: 1569776 NCPDP
  • Other: 1407877467 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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